| Donna S Sandlin, APRN | |
| 
					210 Marie Langdon Dr, Manchester, KY 40962-6195  | |
| (606) 598-5104 | |
| (606) 598-0983 | 
| Full Name | Donna S Sandlin | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 210 Marie Langdon Dr, Manchester, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033159223 | NPI | - | NPPES | 
| 000000586717 | Other | KY | BLUE CROSS & BLUE SHIELD | 
| 78008273 | Medicaid | KY | |
| 000000514608 | Other | KY | BLUE CROSS BLUE SHEILD | 
| 7100014610 | Other | KY | MEDICAID NP GROUP NUMBER | 
| P00409709 | Other | KY | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1083411 (Kentucky) | Secondary | 
| 363L00000X | Nurse Practitioner | 3791P (Kentucky) | Primary | 
| Entity Name | Southeastern Emergency Services P C | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031219000755  | 
| Entity Name | Memorial Hospital, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831150119 PECOS PAC ID: 4486616141 Enrollment ID: O20041103001183  | 
| Entity Name | Southeastern Emergency Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285  | 
| Entity Name | Memorial Hospital, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255471827 PECOS PAC ID: 4486616141 Enrollment ID: O20141210002155  | 
| Entity Name | Concord Medical Group Of Kentucky Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233  | 
| Entity Name | Emergency Medicine Services Of Ky Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033816194 PECOS PAC ID: 9335505569 Enrollment ID: O20230515000823  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Donna S Sandlin, APRN 10 Bentley Rd, London, KY 40744-8849 Ph: () -  | Donna S Sandlin, APRN 210 Marie Langdon Dr, Manchester, KY 40962-6195 Ph: (606) 598-5104  | 
Ashley Brooke Munn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Glenndale Rd, Suite 1, Manchester, KY 40962 Phone: 606-599-2508 Fax: 606-599-2507  | |
Cheri Lynn Wagers, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Garrard Sq, Manchester, KY 40962 Phone: 606-658-2323 Fax: 606-658-6085  | |
Alma Asher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Marie Langdon Dr, Manchester, KY 40962 Phone: 606-598-5104  | |
Mikayla H Collett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 Memorial Dr Ste 3, Manchester, KY 40962 Phone: 606-599-0169 Fax: 606-599-0297  | |
Gail Harkins, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 509 Memorial Dr, Manchester, KY 40962 Phone: 606-598-8813 Fax: 606-598-1688  | |
Tracy Sizemore, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Memorial Dr, Manchester, KY 40962 Phone: 606-598-4530 Fax: 606-599-2530  |